Paul Klincewicz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R033207 Issued in NY

Practice address

225 W Montauk Hwy
Hampton Bays, NY 11946-3531

Phone

(631) 723-2316

Fax

(631) 723-2098

NPI assigned

Apr 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245351709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434516",
            "telephone_number": "631-427-3700",
            "fax_number": "631-427-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463531",
            "telephone_number": "631-723-2316",
            "fax_number": "631-723-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINCEWICZ",
        "first_name": "PAUL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R033207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Flanagan Keyser, OD
• Kidney Doctors, PLLC
• Chelsea Jean King
• Brad Klausman
• Nancy Klein-Slowey, R.N.
• Rebecca Knock, DPT
• Cheryl Ann Krasinski, MD
• Kathleen Marie Lagreca, RN
• Catherine Francis Lagrua, LPN
• Jessica Elizabeth Lagrua, LPN

• Clinical Social Worker in Hampton Bays, NY
• Providers in Hampton Bays, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.